JEROME W BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019293

License Status

NOT RENEWED

Business

First Name

JEROME W

Last Name

BLACK

Business Name

JEROME W BLACK

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005